Reflections on the process of change on acute psychiatric wards during the City Nurse Project

Journal of Psychiatric and Mental Health Nursing
C FloodP Oladapo

Abstract

The intention of this paper is to discuss the process of therapeutic change on two acute psychiatric wards during a research project that aimed to reduce conflict and containment. Analysis of fieldwork notes, reflection, team discussion and supervision. The City Nurse Project successfully reduced patient aggression, self-harm and absconding. This paper reports on the reflections made over the course of the year as changes and developments to acute wards took place. Specifically discussed are the beneficial effects of an action research approach, the role of the City Nurse, support for ward managers, education and training, clinical supervision as well as difficulties and barriers to the overall process of change. At an interim stage of the project, the staff have shown a willingness to engage in efforts to change and improve two acute wards. This paper shows the potential to improve acute wards and produce positive outcomes using a working model.

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Citations

May 23, 2012·The Psychiatric Quarterly·P S Mann-PollG J M Hutschemaekers
Jul 14, 2010·Issues in Mental Health Nursing·Michelle ClearyBrenda Happell
Oct 2, 2007·Archives of Psychiatric Nursing·Anna BjörkdahlGörel Hansebo
Oct 11, 2008·Journal of Psychiatric and Mental Health Nursing·L BowersT Allan
Sep 13, 2006·Journal of Psychiatric and Mental Health Nursing·G BrennanL Bowers
Apr 14, 2007·Journal of Psychiatric and Mental Health Nursing·C Hopkins, S Niemiec
May 29, 2012·Journal of Psychiatric and Mental Health Nursing·A BjörkdahlT Palmstierna
Jan 16, 2010·International Journal of Mental Health Nursing·Michelle ClearyBrenda Happell
May 15, 2015·International Journal of Mental Health Nursing·Cevher GunencGeoffrey L Dickens
Jun 18, 2019·International Journal of Mental Health Nursing·Allison HarringtonSuresh Sundram

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